Electrical safety in operating Room

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Hi - I am a student, but thought it would do well to post here. . . besides having a grounding pad underneath pt. and on pt., what are other ways an or nurse maintains electrical safety in the or?

What other safety measures are used in OR, other than asepsis & electrical safety, what about the PACU? Thank you in advance for your input. My textbook has a lot of general patient interventions, (keep patent airway, etc) but not technical stuff. :up:

linda2097

375 Posts

I always make sure that no part of the patient's skin is touching bare metal, such as stirrups or other positioning posts.

During arthroscopies, we try to keep the floor as dry as possible by using floor suction and folded blankets on the floor.

MamaCheese

177 Posts

Specializes in OR. Has 5 years experience.

Other aspects of eletrical safety are to not use extension cords if at all possible, make sure all electrical items have up to date biomed stickers, make sure cords are not frayed or worn, never yank a plug out of a socket by its cord, plug essential items into red plugs only (in case of power outages), have all electrical items brought in from outside sources checked by biomed before using them.

suz1320

5 Posts

Hi,

I have a quick question and would love feedback.When you have bovie pad cords that hang on the floor or near it,I have seen towels placed over the cords.Is it acceptable?What does the AORN recomend?Thanks

Scrubby

1,313 Posts

Specializes in Operating Room Nursing. Has 6 years experience.
Hi,

I have a quick question and would love feedback.When you have bovie pad cords that hang on the floor or near it,I have seen towels placed over the cords.Is it acceptable?What does the AORN recomend?Thanks

I don't know what AORN recommends but the medical reps strongly advise against threading the diathermy cords through metal towel clips. Of course most surgeons ignore this and do it anyway.

Another electrical safety I can think of is making sure that laparoscopic instrument insulation is intact to prevent inadvertent burns to organs.

Also if you have electrical cords on the ground that they aren't being squashed by equipment which can lead to damage.

fracturenurse

200 Posts

Specializes in 2 years school nurse, 15 in the OR!. Has 19 years experience.

Be careful with light cords. When you take off the scope and lay the cord on the drape, always, always, put that puppy on "standby." It will burn a hole in the drape in about 4 seconds. Those scopes get hot, make sure they are not on the drape!

Also, if you use electrical extension cords in the OR, they are supposed to me mounted on a pole off the ground and biomed approved. We had one of the old ones that almost set the place on fire!

GadgetRN71, ASN, RN

1 Article; 1,840 Posts

Specializes in Operating Room. Has 17 years experience.
Be careful with light cords. When you take off the scope and lay the cord on the drape, always, always, put that puppy on "standby." It will burn a hole in the drape in about 4 seconds. Those scopes get hot, make sure they are not on the drape!

Also, if you use electrical extension cords in the OR, they are supposed to me mounted on a pole off the ground and biomed approved. We had one of the old ones that almost set the place on fire!

Ha, you beat me to it, I was going to warn about scope cords...I've seen them burn through drapes(the pt wasn't burned, Thank God!)

beanal

18 Posts

Specializes in Perioperative Nursing.

Re: electrical safety:

Also do a visual inspection of the electrical cords of all OR equipment prior to use. Especially the OR table cord as sometimes the cord will be underneath the foot of the table and when the table is locked the cord is cut and frayed.

Do not use the ESU as a prep stand as fluids can spill on the unit and cause a

problem.

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